Do simple beside lung function tests predict morbidity after rib fractures? - 18/04/17
Abstract |
Background |
We evaluated if incentive spirometry volume (ISV) and peak expiratory flow rate (PEFR) could predict acute respiratory failure (ARF) in patients with rib fractures.
Methods |
Normotensive, co-operative patients were enrolled prospectively. ISV and PEFR were measured on admission, at 24 h and at 48 h by taking the best of three readings each time. The primary outcome, ARF, was defined as requiring invasive or noninvasive positive pressure ventilation.
Results |
99 patients were enrolled (median age, 77 years). ARF occurred in 9%. Of the lung function tests, only a low median ISV at admission was associated with ARF (500 ml vs 1250 ml, p = 0.04). Three of 69 patients with ISV of ≥1000 ml versus six of 30 with ISV <1000 ml developed ARF (p = 0.01). Other significant factors were: number of rib fractures, tube thoracostomy, any lower-third rib fracture, flail segment.
Conclusion |
PEFR did not predict ARF. Admission ISV may have value in predicting ARF.
Le texte complet de cet article est disponible en PDF.Keywords : Rib fracture, Incentive spirometry, Peak expiratory flow rate, Acute respiratory failure
Plan
Vol 213 - N° 3
P. 473-477 - mars 2017 Retour au numéro
Article précédent
- Pharmacogenetics-guided analgesics in major abdominal surgery: Further benefits within an enhanced recovery protocol
- Anthony J. Senagore, Bradley J. Champagne, Eslam Dosokey, Justin Brady, Scott R. Steele, Harry L. Reynolds, Sharon L. Stein, Conor P. Delaney
- Is routine use of adjuvant chemotherapy for rectal cancer with complete pathological response justified?
- Maysoon Gamaleldin, James M. Church, Luca Stocchi, Mathew Kalady, David Liska, Emre Gorgun
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?